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 ...for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office. where you'll be empowered to make a difference in the lives of patients by... 
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Max Populi, LLC

New York, NY
4 days ago
 ...desired outcomes with quality care that is medically appropriate and cost-effective based on...  ...discussed during our interview process. Remote position in New York. Work schedule...  ...outpatient medical necessity/utilization review, and/or other utilization management... 
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Molina Healthcare

New York, NY
3 days ago
 ...and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive... 
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Integrity Management Services, Inc.

New York, NY
3 days ago
 ...Panettieri, LLP Position: Audit Manager, Reviewer Job Location: Hauppauge, NY Salary...  ...apply today. Benefits include: ~ Medical, Dental, Vision ~ Life Insurance, LTD,...  ...TO A TOTAL OF 15% TO YOUR RETIREMENT!! ~ Remote capability ~ Flexible work schedule ~... 
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Schultheis & Panettieri LLP

Floral Park, Queens County, NY
10 hours ago
 ...is currently recruiting for a Part-Time Medical Director! This position will support our...  ...DMHC Program. This is a part-time, fully remote position that can be located anywhere in...  ...directly with panel physician reviewers as needed as part of the physician panel... 
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Maximus

New York, NY
2 days ago
 ...Home # Search Jobs # Job Description Care Review Clinician Remote: New York, New York, US Salary: $45.00 Per Hour Job...  ...prior authorization requests, refer appropriate cases to Medical Director make appropriate referrals to other clinical programs... 
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Collabera

New York, NY
3 days ago
 ...Job Description Job Description Utilization Review RN – MLTC (Fully Remote) The Clinical Utilization Registered Nurse works directly with...  ...services for high hour cases, and decisions for high dollar medical equipment. Responsibilities: The Clinical... 
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RCM Health Care Services

Riverdale, NY
1 day ago
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 ...Case Record Reviewer Job Details Level Experienced Job Location 1 PIERREPONT PLAZA SUITE 901 - BROOKLYN, NY Position...  ...commensurate with experience Location Hybrid position: primarily remote, but should be willing to travel throughout NYC as needed.... 
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Graham Windham

Brooklyn, NY
3 days ago
 ...Description: Experienced BSA/AML professional within the KYC Periodic Review Operational Control team to perform a high-quality 4-eye review...  ...place a hybrid working program, with varying opportunities for remote work depending on the nature of the role, needs of your... 
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Mizuho

New York, NY
3 days ago
 ...Job Title: Claims Account Specialist (Medical) - Remote Stafford Communications is uniquely different. Stafford Communications, a division...  ...Account Specialist (Medical) - Remote is responsible for the review, investigation, decision making, and processing of production... 
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Stafford Communications Group

New York, NY
10 hours ago
 ...care utilizing the latest, state-of-the-art medical technology. Serving the Westchester...  ...Attorney serving as supporting contract review counsel within the Office of Legal Affairs...  ...Legal Affairs. Interface with the Hospital's remote computer systems. Maintain strict... 
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Riverside Medical Center

Yonkers, NY
3 days ago
 ...from over $500B in wasted spending due to medical billing fraud, waste, and administrative...  ...Relationship Account Manager for our Bill Review Clients means being at the forefront of...  ...policy Work in a flat organizational structure - direct access to Leadership LI-REMOTE... 
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Alaffia Health

New York, NY
3 days ago
We are looking for a Technical Reviewer on a New York project that has a minimum of (1) years prior experience in the construction and/or utility industry. This will be an administrative position. Requirements Requirements include but are not limited to: Have... 
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Joe Knows Energy

New York, NY
1 day ago
 ...Description Nurse Reviewer I Location: Within 50 miles of a pulse point Shift :...  ...are routine having limited or no previous medical review experience requiring guidance by...  ...For candidates working in person or remotely in the below locations, the salary* range... 
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Elevance Health

New York, NY
10 hours ago
 ...Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday, April 29, 2024 Centers Plan for Healthy Living's goal...  ...assess and process Therapy authorization requests to determine medical necessity to ensure all care services, member education, and preventative... 
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Centers Plan for Healthy Living

Kew Gardens, NY
3 days ago
 ...NYC Department of Design and Construction, Public Buildings Division, Architecture & Engineering Unit seeks an Electrical Design Reviewer. The duties for this position will include, but are not limited to, project scoping, design and/or review of consultant drawings... 
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City of New York

New York, NY
1 day ago
 ...Reimbursement for clinical staff! Generous paid time off Affordable medical, dental and vision coverage for employee and family members...  ...Forgiveness Program (PSLF) Responsibilities: Quality Review Auditor (QRA) is responsible for ongoing audits of the care... 
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Metropolitan Jewish Health System

New York, NY
4 days ago
 ...desired outcomes with quality care that is medically appropriate and cost-effective based on...  ...a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must...  ...during our interview process. Remote position in New York. Work schedule Monday... 
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Molina Healthcare

New York, NY
10 hours ago
 ...storing and filtering storm water. These areas also provide important community open spaces and a diverse wildlife habitat. Plan Review is a unit within the Division of Connections and Permitting that evaluates civil engineering plans with a potential impact on the... 
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City of New York

New York, NY
1 day ago
 ...Description Utilization Review Clinician/Advocate needed for full-time, permanent, remote position. Position Responsibilities: Performs telephonic care...  ...use treatment for members based on insurance medical necessity level of care criteria. Consults with... 
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Social Work p.r.n.

New York, NY
3 days ago